Mara, Fynz Aedrifin T.

HRN: 21-61-07  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/25/2022
MUPIROCIN 2%, 15G (TUBE)
06/25/2022
07/04/2022
TOPICAL
1
Q8
Impetigo
Waiting Final Action 
07/29/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
07/29/2022
08/05/2022
ORAL
1 Ml
24 Hrs
PCAP C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: